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首页> 外文期刊>Surgical Endoscopy >Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report.
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Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report.

机译：内镜半甲状腺切除术通过单侧腋窝-乳房方法预防性患侧中央颈淋巴结清扫术，无气体吹入的单侧微乳头甲状腺癌：初步报告。

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BACKGROUND: Recently, various endoscopic approaches have been applied to thyroid surgery. However, few specific data exist on endoscopic thyroidectomy with central neck dissection (CND) for micropapillary thyroid carcinoma. This study aimed to evaluate the feasibility and safety of endoscopic hemithyroidectomy (HT) plus CND. METHODS: In this study, 29 consecutive patients underwent endoscopic HT with ipsilateral CND via a unilateral axillo-breast approach (endo group), and 30 matched control patients underwent conventional open HT with ipsilateral CND (open group). The following variables were compared between these two groups: perioperative complications, surgery-related outcomes, and pathologic outcomes. RESULTS: The operating time in the endo group was longer than in the open group (p = 0.012). In terms of parathyroid gland (PTG) preservation, there were no statistically significant differences between the two groups. The mean numbers of dissected central lymph nodes and metastatic central lymph nodes were similar in the two groups (p = 0.506 vs. 0.975). The endo group had a significantly longer mean hospital stay (6.21 +/- 0.94 days) than the open group (4.30 +/- 1.02 days; p = 0.000). No significant difference was observed in the overall perioperative complications between the two groups. CONCLUSIONS: This study demonstrates that the endoscopic approach of CND plus HT is feasible for selected unilateral, intrathyroidal, micropapillary carcinomas. In the future, prospective and comparative studies on the surgical techniques of total thyroidectomy and CND are needed to verify their oncologic safety.
机译：背景技术：最近，各种内窥镜检查方法已应用于甲状腺手术。然而，针对微乳头状甲状腺癌的内镜下甲状腺切除术结合中央颈淋巴结清扫术（CND）的具体数据很少。这项研究旨在评估内镜下甲状腺切除术（HT）加上CND的可行性和安全性。方法：在这项研究中，连续29例患者通过单侧腋窝-乳房入路接受同侧CND的内镜HT（内镜组），以及30例匹配的对照患者接受同侧CND的常规开放性HT（开放组）。在这两组之间比较了以下变量：围手术期并发症，手术相关结局和病理结局。结果：内窥镜组的手术时间比开放组更长（p = 0.012）。就甲状旁腺（PTG）的保存而言，两组之间在统计学上没有显着差异。两组的中心淋巴结转移和转移中心淋巴结转移的平均数相似（p = 0.506 vs. 0.975）。内窥镜组的平均住院时间（6.21 +/- 0.94天）比开放组（4.30 +/- 1.02天; p = 0.000）长得多。两组的总体围手术期并发症无显着差异。结论：这项研究表明，内镜下CND加HT治疗某些单侧，甲状腺内，微乳头状癌是可行的。未来，需要对全甲状腺切除术和CND手术技术进行前瞻性和比较性研究，以验证其肿瘤学安全性。

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